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. �6�,� <br /> �f ' ��e STATEMENT OF BENEFITS FORM SB-1 I RE <br /> �d'�` � j; REAL ESTATE IMPROVEMENTS <br /> y��;, State Form 51767(R/1-06) <br /> `� °r-'-%� Prescribed by the Department of Local Govemment Finance <br /> INSTRUCTIONS: <br /> 1. This statement must be submitted to the body designating the Economic Revitalization Area prior to the public hearing if the designating body requires <br /> infom�ation from the applicant in making its decision about whether to designate an Economic Revitalization Area. Othenvise thrs sfatement must be <br /> submitted to the designating body BEFORE the redevelopment or rehabi7itation of rea/property for which the person wishes to claim a deduction.'Projects" <br /> planned or committed to afterJu/y 1, 9987,and areas designated after Ju/y 9, 1987,require a STATEMENT OF BENEFITS. (IC 6-9.1-12.1) <br /> 2. Approval of the designating body(City Council, Town Board,County Council,etc.)must be obtained prior to initiation of the redeve%pment or rehabilitation, <br /> BEFORE a deductian may be approved. <br /> 3. To obtain a deduction,Form 322 ERA,Appfication for Deduction from Assessed Uafuation of Structures in Economic Revitalization Areas,must be filed <br /> wrth the County Auditor by the late�of.•(1)May 10;or(2)thirty(30)days after the notice of addition to assessed valuation or new assessment is mailed to <br /> ihe property owner at the address shown on the records of the township assessor. <br /> 4. Property owners whose Statement of Benefits was approved aRer June 30, 9991, must submit Form CF-1/RE annually to show compliance wifh the <br /> StatementofBenefits. (IC6-1.9-12.1-5.1(b)) <br /> 5. The schedules established under lC 6-1.1-12.1-4(d)effective Ju/y 1,2000,apply to any statement of bene�ts filed on or after Ju/y 1, 2000. The schedules <br /> effective prior to✓uly 1,2000,sha/l confinue to apply to those statement of benefits fi/ed before Ju/y 1,2000. <br /> • •- • <br /> Name of taxpayer <br /> Foster Custom Homes <br /> Address of taxpayer(number and street city,state,and ZIP code) <br /> 428 Miami Trail Bremen,In 46506 <br /> Name of contact person Telephone number <br /> J.Bemard Feeney <br /> (574)233-1841 <br /> • • • � � • • -�•• � •-• <br /> Name of designating body Resolution number <br /> City of South Bend Common Council <br /> Location of property Counry DLGF taxing district number <br /> Aifton Court East of Bridgeton Drive St.Joseph SoUth Bend-Centre <br /> Description of real property improvemenGs,redevelopment,or rehabiiftation.(use additional sheeis ifnecessary) ESTIMATED <br /> Construction of a single family home in Norawood Manor 5tart Date Compleiion Date <br /> 08/18/2011 12/31/2014 <br /> • . . . • -••. . •-• <br /> Curtent number Salaries � Number retained Salaries Number additional Salaries <br /> 0 N/A N/A N/A N/A N/A <br /> • . • • . . -... . ... <br /> NOTE:Pursuant to IC 6-1.1-12.1-5.1 (d)(2)the REAL ESTATE IMPROVEMENTS <br /> COST of the property is confldential. COST ASSESSED VALUE <br /> Current values 2,000.00 <br /> Plus estimated values of proposed project 2�s,000.00 <br /> Less values of any property being replaced <br /> Net estimated values upon compietion of project 2n,000.00 <br /> • • . . • -• . <br /> Estimated solid waste converted(pounds) Estimated hazardous waste converted(pounds) <br /> Other benefits: <br /> • <br /> ereby certify that the representations in this statement are true. <br /> S natur au ' ed representati Title Vice-President, Date sign d(mon ,day,year) <br /> Lang,Feeney 8�Associates � <br />